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INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
NPI 1811689870
Family Medicine in Twin Falls, ID

Active since May 25, 2023CLIA Certified · 3 labs
512 POLE LINE RD STE 2, TWIN FALLS, ID 83301(208) 735-3636(208) 735-3637 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, May 25, 2023 (2 updates tracked since 2023).

About Innovative Family Medicine Of Idaho Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE FAMILY MEDICINE OF IDAHO PLLC (NPI 1811689870) is a healthcare organization registered as a family medicine in Twin Falls, Idaho and active in the NPI registry since May 2023. The organization holds 3 active CLIA laboratory certificates and lists Aaron Brown, Member, as its authorized official.

NPPES Registry Identity

NPI1811689870
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameINNOVATIVE FAMILY MEDICINE OF IDAHO PLLC
Location Address512 POLE LINE RD STE 2Twin Falls, ID 83301-6367
Mailing AddressPo Box 44953Boise, ID 83711-0953
Phone(208) 735-3636
Fax(208) 735-3637
Organization SubpartNo
Authorized OfficialAaron BrownMember · (208) 961-0420
Enumeration DateMay 25, 2023
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1811689870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
512 POLE LINE RD STE 2, Twin Falls, ID 83301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Innovative Family Medicine Of Idaho Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Innovative Family Medicine Of Idaho PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Marc Allan, DO
Family Practice
NPI 1073043337
512 POLE LINE RD STE 2
Twin Falls, ID 83301
(208) 735-3636
✔ PECOS✔ Accepts MedicareSame address
Aaron Brown, MD
Family Practice
NPI 1326128612
512 POLE LINE RD STE 2
Twin Falls, ID 83301
(208) 254-0047
✔ PECOS✔ Accepts MedicareSame address
Jared Henderson, MD
Family Practice
NPI 1336597152
512 POLE LINE RD STE 2
Twin Falls, ID 83301
(208) 735-3636
✔ PECOS✔ Accepts MedicareSame address
Aaron Packham, D.O.
Family Practice
NPI 1912356718
512 POLE LINE RD
Twin Falls, ID 83301
(208) 735-3636
✔ PECOS✔ Accepts MedicareSame address
Samuel Shaw, FNP-C
Nurse Practitioner
NPI 1073248787
1835 HARRISON ST N UNIT 16104
Twin Falls, ID 83301
(208) 431-3570
✔ PECOS✔ Accepts Medicare0.8 mi
Jonathan Muretisch, DO
Family Practice
NPI 1023543899
512 POLE LINE RD STE 2
Twin Falls, ID 83301
(208) 735-3636
✔ PECOS✔ Accepts Medicare0.8 mi
Alexis Rigel
Nurse Practitioner
NPI 1497426415
512 POLE LINE RD
Twin Falls, ID 83301
(208) 735-3636
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 3

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2295432

Innovative Family Medicine Of Idaho PLLC · Twin Falls, ID
Active · expires Dec 11, 2027
CLIA Number13D2295432
Laboratory TypePhysician Office
Certificate Effective DateDecember 12, 2025
Certificate Expiration DateDecember 11, 2027
Laboratory DirectorAaron Brown
Laboratory Phone(208) 735-3636
Laboratory LocationInnovative Family Medicine Of Idaho PLLC512 Pole Line Rd Ste 2, Twin Falls, ID 83301
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2349536

Innovative Family Medicine Of Idaho PLLC · Twin Falls, ID
Active · expires Aug 23, 2028
CLIA Number13D2349536
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
Laboratory DirectorAaron Brown
Laboratory Phone(208) 735-3636
Laboratory LocationInnovative Family Medicine Of Idaho PLLC1411 Fillmore Street Ste 600, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 13D2349538

Innovative Family Medicine Of Idaho PLLC · Twin Falls, ID
Active · expires Aug 23, 2028
CLIA Number13D2349538
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateAugust 24, 2026
Certificate Expiration DateAugust 23, 2028
Laboratory DirectorAaron Brown
Laboratory Phone(208) 735-3636
Laboratory LocationInnovative Family Medicine Of Idaho PLLC526 Shoup Ave W Ste D, Twin Falls, ID 83301
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Family Medicine Of Idaho PLLC's NPI number?

The NPI number for Innovative Family Medicine Of Idaho PLLC is 1811689870. It was assigned to this organization in the NPPES registry on May 25, 2023.

Where is Innovative Family Medicine Of Idaho PLLC located?

Innovative Family Medicine Of Idaho PLLC is located at 512 Pole Line Rd Ste 2, Twin Falls, ID 83301. The listed phone number is (208) 735-3636.

What is Innovative Family Medicine Of Idaho PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Innovative Family Medicine Of Idaho PLLC enrolled in Medicare?

Yes. Innovative Family Medicine Of Idaho PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Innovative Family Medicine Of Idaho PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 2 Medicare specialties reassign their Medicare billing to Innovative Family Medicine Of Idaho PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (5) and Nurse Practitioner (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Innovative Family Medicine Of Idaho PLLC hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Innovative Family Medicine Of Idaho PLLC accept?

Health plans from Molina Healthcare list Innovative Family Medicine Of Idaho PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Innovative Family Medicine Of Idaho PLLC was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.